| Riverside Health System | |
|
500 N Wall St Suite 200 Kankakee IL 60901-2942 | |
| (815) 937-1237 | |
| (815) 933-0662 |
| Full Name | Riverside Health System |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 500 N Wall St, Kankakee, Illinois |
| Authorized Official Name and Position | Phillip Kambic (CEO) |
| Authorized Official Contact | 8159331671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Health System 500 N Wall St Suite 200 Kankakee IL 60901-2942 Ph: (815) 937-1237 | Riverside Health System 500 N Wall St Suite 200 Kankakee IL 60901-2942 Ph: (815) 937-1237 |
| NPI Number | 1336354430 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 07/21/2022 |
| Certification Date | 12/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336354430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Illinois) | Primary |
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